Dr Shane R Mull, MD in Columbia, SC - Medicare Family Medicine

Dr Shane R Mull, MD is a medicare enrolled "Family Medicine" physician in Columbia, South Carolina. His current practice location is 3209 Colonial Dr, Usc- Family & Preventive Medicine, Columbia, South Carolina. You can reach out to his office (for appointments etc.) via phone at (803) 434-6113.

Dr Shane R Mull is licensed to practice in South Carolina (license number 23962) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1699786079.

Contact Information

	Dr Shane R Mull, MD
	3209 Colonial Dr, Usc- Family & Preventive Medicine, Columbia, SC 29203-6930
	(803) 434-6113
	(803) 434-7231

Map and Direction

Physician's Profile

Full Name	Dr Shane R Mull
Gender	Male
Speciality	Family Medicine
Location	3209 Colonial Dr, Columbia, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699786079
Provider Enumeration Date: 08/10/2006
Last Update Date: 03/26/2015

Medicare PECOS Information:

PECOS PAC ID: 8820062912
Enrollment ID: I20040824000902

Medical Identifiers

Medical identifiers for Dr Shane R Mull such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699786079	NPI	-	NPPES
LL4378	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	23962 (South Carolina)	Secondary
207Q00000X	Family Medicine	23962 (South Carolina)	Primary
207Q00000X	Family Medicine	2009-01329 (North Carolina)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Shane R Mull allows following entities to bill medicare on his behalf.

Entity Name	Medcare Express - North Charleston Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457579617 PECOS PAC ID: 7618074899 Enrollment ID: O20070523000200

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shane R Mull is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Shane R Mull, MD 234 Westlake Farms Dr, Blythewood, SC 29016-8325 Ph: (803) 917-9333	Dr Shane R Mull, MD 3209 Colonial Dr, Usc- Family & Preventive Medicine, Columbia, SC 29203-6930 Ph: (803) 434-6113

Reviews and Comments

Family Medicine Doctors in Columbia, SC

Pamela I Brown, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7033 Saint Andrews Rd Ste 101, Columbia, SC 29212 Phone: 803-749-1155 Fax: 803-749-1786
Dr. Elmer Gordon Long, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1818 Henderson St, Columbia, SC 29201 Phone: 803-758-2600 Fax: 803-253-8896
Dr. Charles Joseph Carter Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3209 Colonial Dr, Columbia, SC 29203 Phone: 803-434-6113 Fax: 803-434-7231
April Tamara Singleton Clarke, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2012 Harden St Ste 112, Columbia, SC 29204 Phone: 803-434-6116 Fax: 803-434-8545
Dr. Hance H Oliver, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3600 Forest Dr Ste 300, Columbia, SC 29204 Phone: 803-749-5101 Fax: 803-933-3045
Justin Andrew Mullner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3209 Colonial Drive, Family Medicine Department, Columbia, SC 29203 Phone: 803-434-6116 Fax: 803-434-8545
Kristian Jorgensen, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3209 Colonial Dr, Columbia, SC 29203 Phone: 803-434-7399

Dr Shane R Mull, MD - Medicare Family Medicine in Columbia, SC